The Centers for Medicare & Medicaid Services (CMS) has issued a memo providing recommendations for nursing homes and healthcare facilities to determine the level of mitigation needed to prevent COVID-19 transmission. The memo outlines criteria for relaxing restrictions, visitation and service considerations, and restoration of survey activities. Nursing homes should not relax restrictions until all residents and staff have received a baseline test, and states should survey facilities with significant COVID-19 outbreaks before reopening. Decisions on relaxing restrictions should be made with careful review of facility-level, community, and state factors/orders, in collaboration with state and/or local health officials and nursing homes.

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